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Georgina House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 April 2019

About the service: Georgina House is a residential care home that was providing personal care to 4 people at the time of the inspection.

People’s experience of using this service: The people who could communicate with us in ways which we could understand spoke positively about the staff who supported them and the new manager. One person said, “It’s good I have a key worker, [name of member of staff] has helped me.” One person spoke positively about their room. We saw other people engage well with the staff, they looked happy and at ease with the staff around them.

When we inspected the service last time we found many issues which led to multiple breaches of the Health and Social Care Act 2008 and the service was placed in Special Measures. At this inspection we found improvements had been made.

Plans had been made to help staff manage some of the key risks which people faced. People were being supported to access health support or seek professional advice about their needs. Improvements had been made to promote people’s safety in the home when they accessed the kitchen.

Staff now supported people to have their medicines in a safe way. Improvements had been made in terms of keeping the home clean, but we still found issues relating to infection control risks at the home. The manager did start to act to address these issues.

The provider had now had completed full employment checks to ensure people were safe around new members of staff. The staff we spoke with had a good and complete knowledge about how to protect people from potential abuse. They also knew how to promote people’s rights in terms of experiencing discrimination.

Plans were in place to ensure staff had competency checks so the manager could address shortfalls in their knowledge and be assured if staff were competent in their work. We saw that staff knowledge and practice had improved, but this was still a working progress, to ensure all staff were effective in their roles.

Progress had been made to enable people to have choice with their food and drinks and promote healthy options. We saw staff encouraging people to go out for walks and plans had started to be made to support people to eat healthier food.

Staff and the manager were making efforts to help people who could not communicate easily, to have a voice. Referrals to specialist health professionals had been made and care plans were updated so staff knew how to meet people’s needs.

Improvements had been made in terms of supporting people to consider goals but further work was needed to fully explore people’s interests, ambitions, and improve their environment and experiences.

There was now a management structure in place which had good oversight about the previous issues and what they needed to do to make improvements. There was now a better culture at the home. Further work was needed to make these improvements and show these had been sustained.

The home had not previously been fully developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. Further work was needed to fully meet these values.

Rating at last inspection: Inadequate the report was published on 26 September 2018.

Why we inspected: This inspection was planned based on the previous rating.

Follow up: We will inspect the service again to check improvements have been made and in the mean time we will monitor the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 24 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 24 April 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 24 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 24 April 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 April 2019

The service was not always well-led

Details are in our Well-Led findings below.